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Permit CITY OF TIGARD MASTER PERMIT I ' . ' COMMUNITY DEVELOPMENT Permit#: MST2022-00133 Date Issued: 07/05/2022 T j „ P.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB08100 Jurisdiction: Tigard Site address: 15041 SW KENTON DR Subdivision: ASHFORD OAKS NO.2 Lot: 95 Project: Warren Project Description: Removing(1)wall, relocating kitchen sink,adding (1)garbage disposal and relocating/changing 3 tub and tub-showers. No new plumbing fixtures. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $9,700.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add"500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 5 Mfd Home/Feeder/Svc: 0 401-60D amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: WARREN,STEVEN C FAMILY TRUST NORTHLAND DESIGN&BUILD Required Items and Reports(Conditions) WARREN,JANETH A FAMILY TRUST 20000 SW CAPPOEN RD 15041 SW KENTON DR SHERWOOD,OR 97140 TIGARD,OR 97224 PHONE: PHONE: 503-380-6251 FAX: 503-625-4838 Total Fees: $779.70 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTIO Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9.nri1j n1 n fhrro h R oc9.nl11.nnon nil m u a htai nm,of th r,,I nr dirert ni mefinne to(li INIC 1,,,r 7 nr 1Lap0.a477Qdd �A.�i' � 1 Issued By: � �� Permittee Signature: Call 50 .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. :r+ RECEIVED Building Permit Application MAY 1_ 2 2.02.2 CITY OF TIGAF Residential BUILDING DIVISI FOR OFFICE USE ONLY Received -C� i. - City of Tigard Date/By: Permit No.: j 33 13125 SW Hall Blvd.,Tigard,OR 97223 n Reviewa� Phone: 503.718.2439 Fax: 503.598.1960 REcE! Da By: 'ZZ Other Permit: TIGARD Inspection Line: 503.639.4175 to Ready/By. / luris: 0 See Page 2 for Internet: www.tigard-or.gov N 'ied/ ethodf/ 7 '' Supplemental Information TYPE OF WORK / RI' t I T i- AND4 LY DWELLING ❑New construction ❑De Ion Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 01-1-Q7 0 I-and 2-family dwelling ❑Commercial/industrial i ❑Accessory building ❑Multi-family Number of bedrooms: 0 ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: �rj041 �jvl,! K -rp,, A-. New dwelling area: Q square feet ' ` City/State/ZIP: 1;601¢9 0 e eA720.4 Garage/carport area: Q square feet Suite/bldg./apt.no.: Project name: y\/4 Covered porch area: 0 square feet Cross street/directions to job site: ls'( p¢ v',t4 84th i _ Deck area: ® square feet Sid )(- TO^, D?- Other structure area: Q square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. �S,`aC�g Indicate the value(rounded to the nearest dollar)of all Tax map/parcel/ arcel no.: AQO equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. N Valuation: $ 1'�u /I lr�t�r 7cliirs Yr-p/4C rrrele "rvy` Cc�`frdJ Existing building area: square feet New building area: square feet ,,IIPROPERTY OWNER 0 TENANT Number of stories: Name: 5-tf,%/6 c-3pt,^ 14,/,9g,geiN Type of construction: Address: 1tjo41 lrt/ viz, Occupancy groups: City/State/ZIP: '1" .7��9 Q e._. l as 4 Existing: Phone:(SQS) 9 9 -No(o Fax:( — ) New: .APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please relgr to fee schedule) Business name: NOctvii.0 coos. ,no Structural plan review fee(or deposit): Contact name: AMtE ��.3sZ`PI FLS plan review fee(if applicable): Address: 020000 5/ CpQPGw\ '-9 City/State/ZIP: Total fees due upon application: SN .�a� OR gi-►4o Phone:(A63) toe\ 3-A45 Fax: :( ) Amount received: E-mail �F1�'ItG® �p)?�l>wkn0 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �JJ I �a"\ Commercial and residential prescriptive installation of JI,. _ (riTA 't€R �� I'f�4'"�' .; , ; .-„ roof-top mounted Photovoltaic Solar Panel System. Business name: No o i-e ...A.n, Con 5-��ut-l� Submit two(2)sets of roof plan with connection details ��� and fire department access,along with the 2010 Oregon Address: C SW CPfO {V`�1� Solar Installation Specialty Code checklist. City/State/ZIP: 5{ s,0g0OJ ©tit, (AI-14Q Permit Fee(includes plan review $180.00 and administrative fees): Phone:(a5"-3) 94ck /3s Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 10410 �l`A7 A 1 1 Total fee due upon application: $201.60 Authorized signal re: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: -� Date: *Fee methodology set by Tri-County Building Industry � i� ✓) s/� Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) // C t3 ' Mechanical Permit Application FOR OFFICE USE ONLY Cityof Tigard . .red Permit No.: q 1312 SW Hall Blvd.,Tigard,OR 97223 '� '��f�� � ma e 1 y. 'P1 irlieview Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: ry�^� 1'I(i;111 I) Inspection Line: 503.639.4175 MAY 1 2 LU°Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information I CITY OF TIGA4) „,, /,.// / giili %i yiw, /o ��j',, 1 � �Al;.‘„/ F!''P�`„SCHEDULE - USE CHECKLIST /" """ Mechanical permit fees*are based on the value of the work ❑New construction 129 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total / /iM ,,/ ' / ''t / z Heating/cooling: Air conditioning 46.75 Job site address: )5o 4 t s vJ K E,,.f,y\ fl- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: --c't(.,n(1g O_ Al.it4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: (21Q4 Duct work 23.32 Cross street/directions to job site: .ici)b,-,- of. 6,4 64{3-• al/£- Hydronic hot water system 23.32 Residential boiler(radiator or `/N/ 11-cnrp,\ p(- hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: astvac .OetIo Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas ,'cote(\ : ,(9 ( ptv\ V- O001,- fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 } ❑ TENANT Other: 23.32 PROPERTY OWNER Environmental exhaust and ventilation: • Name: Range hood/other kitchen �q equipment 1 33.39 555I Address: \504\ 5,4 K,Gt ve... Clothes dryer exhaust 33.39 City/State/ZIP: •-{L A 9 Og. ck�,Z'14 Single-duct rtmexhents(bathrooms,rooms) s, toilet compartments,utility ro 3 23.32 Phone:(570.) ' 1-p - fa 1 to(p Fax:( - ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTA // ,�, Other: 23.32 ,ida ^_ Fuel piping: Business name: I�lo4, w 9 t‘S tit.nB� $14.15 for first four;$4.03 for each additional Contact name: "3,10r1,(_ xTA Furnace,etc. Address: d,0QCO SyV �cXr. 0• Gas heat pump _1 WalUsuspended/unit heater City/State/ZIP: `j l• "N A,4,,3 9 Oa 6k114 0 Water heater Phone: "1 Fax:: (2 ) �9 3Mc ( ) Fireplace Range E-mail:�AM,I;e m)g-f,*. j,,,,LJIY \ Barbecue CONTRACTOR 4Mo i;/// Clothes dryer(gas) Other Business name: 5vcselir ('-e t t,t Address: a�8 4.6 --50,6 qN cc, Subtotal S0"03 Minimum permit fee($90.00) City/State/ZIP: V,/�.-- LVlh pp- 4\1'000S yp ) Fax:( ) Plan review(25°0/0 of permit fee) Phone:( Ij 4SS �l'J State surcharge(12%of permit fee) CCB lie.: gGl)39- TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name73:4. 1c, ,o Date: 011121, C\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE Om.) Received City of Tigard I� B : Permit#: • 13125 SW Hall Blvd.,Tigard,OR 97223E V E1Vr Review I II Phone: 503.718.2439 Fax: 503.598.1960 V Date/B : Related Permit#: Inspection Line: 503.639.4175 ,,,, Ready Date/By: Jurist ® See Page 2 for I t ARD IIt1 AY 1 7'', , Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW '� t Please check all that a i tly ❑New construction .❑Addition:'alteration I I (submit 2 sets of plans w items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ,D-1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived "o \ `J4 i(,� 0 Addition of new motor load of system. ' Job#: Job site address: I r.nTbN ��. 100HP or more. A ❑"A" "E"'`1-2" "1-3" e City/State/ZIP: t 0 Six or more residential units. occupancy. 1\V 9 a 9��a�`L 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: tt)RgR 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FAST of 5v,/ (a 401 pr46 FEE SCHEDULE / �—y Description 1 Qty. 1 Each 1 Total 1 * - 5N \ s6:rc t \ V—, New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 16654 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential !}, (with above sq.ft.) l 75.00 2 e-,.-r ri-CA ✓AT �zon-k E°vet_ Limited energy,multi-family 75.00 2 residential(with above sq.ft.) i Renewable Energy ❑ See Page 2 ,PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: e7fG h ec,c1,4\ v‘iAg.T...g.(` 200 amps or less 100.70 2 Address: 1,�4 1 �h/ lc f/\TV1 9 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:'c(pl.p.9 OQ- c\3.a DA 601 amps to 1,000 amps 301.04 2 Phone: Fax: Over 1,000 amps or volts 552.26 2 (So3)gfio-61�(.� ( ) Temporary services or feeders installation,alteration,and/or Email: JpMH/AQ,\co 9 C,rnA1t.,.s,ONN relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT 0'CONTACT P liI Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Vo i-t. tAtST4veno, above service or feeder fee, 7 42 2 each branch circuit Contact name: pin 16- ✓,tTpl B.Fee for branch circuits without service or feeder fee,first t 56 18 .j, le 2 Address: 9.0000 Sh/ Cge.e rJC,� P 0 branch circuit City/State/ZIP: �j Oi_ q�14t7 Each add'l branch circuit 47.42 ac(.Coe 2 Miscellaneous(service or feeder not included) Phone:(ass) C q - sx4c Fax: :( ) Each manufactured or modular 67.84 2 -•� dwelling,service and/or feeder J Email: AM t yei,,/,,(1-11-1-VM RA I,0 L_Co'A Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 i Business name: C6K,-T04 f� e.Tl%t L Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: TU JOc G(00 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above y AN O . CA 1.Ia Additional inspection(1 hr min) 66.25/hr Phone:(576 )41.3c, I(Ofb Fax:(519j,, )SC,OS 3,k Investigation(1 hr min) 90.00/hr Email: Cm...wk ele�� r �.J industrial plant(1 hr min) 78.18/hr C`� � ��t --•ccivN. Inspections for which no fee is 90.00/hr CCB Lic.: \SLk 4-‘ E ectrical Lic.:�j(o-V'd0 C Suprv.Lic.: �j'Q s ect p fically %� listed(V2 hr min) �� „ . Suprv.Electrician signa re, qui d: /`e� CL�t'1\ � Subtotal: ;26-4•go Print name: CylAckCa jecur Date:51\a..i-D- ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: i\_r TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: 1 it.- i ,yk Date: s'-f ZZ days after it has been a cccepted as complete. „"/ * Number of inspections allowed per permit. { 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11\05'COMWWEB Plumbing Permit Application Building Fixtures RECE V 1 FOR OFFICE USE ONLY City Of Tigard Received - 3 g Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 12 20,„,7)ate/By: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: T I G A K D Inspection Line: 503.639.4175 CITY OF-EGA hto/By:eady/By: lads: ® See Page 2 for Internet: www.tigard-or.gov ^'r` '1'1`"1 ' d +ed/Method: Supplemental Information %. TYPE OF WORK FEE* SCHEDULE 0 New construction ❑Demolition jar special information use checklist. Description I Qty. I Ea. 1 Total OAddition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION ��% SFR(1)bath 312.70 Ki'l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 AccessorybuildingSFR(3)bath 500.32 El ❑Multi-family Each additional bath/kitchen 25.02 1 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: ►st l sv1/ K flQ- Drywell,leach line,or trench drain 18.76 City/State/ZIP: 'St(,4.C) O C f Z� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: JJ Project name: G4.414_154,i, Manufactured home utilities 50.03 Cross street/directions to job site: Fens c o. Sv►/ e,41'‘,. Manholes 18.76 514 ,1„oN ',e Rain drain connector 18.76 `• Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map'parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 YC`I F',v/N, 4. 5' 1H-11 Y-oyta9f'L- Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: c , 6 -- -- v�F�g.9.-Eta Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16.041 5v✓ K fATCn a ►Z• Garbage disposal I 25.02 S.p)- : City/State/ZIP: 1("A.E,i) C4. e+ Hose bib 25.02 Phone:( P ) CV 0 - g,(tjG Fax:( ) Ice maker 12.51 , ,PPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: /VO(LT1-1-yy 9 Col S,[1.-vc,Clo,‘., Contact name: Primer 12.51 16_ t 'T'q Roof drain(commercial) + 12.51 Address: p.0000 Sv✓ CAI()fore\. Sink/basin/lavatory 'L.141 1 25.02 1 City/State/ZIP: Stiv4zoom 0g- q T t 4 0 Solar units(potable water) 62.54 Phone:( 3) 6401 A5'" Fax::( - ) Tub/shower/shower pan 3 12.51 3+.S$ f�/o�,H Urinal 25.02 E-mail: �LZtv,‘� @ („/� `�t t.D r „r/y �� Water closet . 25.02 - CON'fRACTOR - ` � Water heater 37.52 Business name: Ni4 L V-'1, l,/� J'Y^1 c^ Waterpiping/DWV 56.29 Address: 11G1?s,C Sv'I RACtFtL., VIN,1/.j Other: 25.02 City/State/ZIP: -t;,R� Q� q 1 a�2� Subtotal - Phone:(9 ) SIGl -/p(044 Fax:( - ) Minimum permit fcc: $72.50 Plan review (25%of permit fee) CCB Lic.: 1'41al 4 Plumbing Lic.no.: S2S4 f 1 State surcharge(12%of permit fee) Authorized signature - ---- TOTAL PERMIT FEE Print name:"-S,y,,,,� . ,3 t� Date: S712122_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T 1{_,1 A F&D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Jamie Fujita MAY 2 3 2022 COMPANY: Northland Construction CITY OF TIGAF (3„ el, PHONE: 253-549-3245 EMAIL: Jamie@NorthlandBuild.com RE: 15041 SW Kenton Dr Tigard 97224 MST2022-00133 (Site Address) (Permit Number) Warren (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Cop , I saiip*aon: Copies: Description: Additional set(s) of plans. 3 Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: ;(1011a 3c0 QV rm/.cv. lt,h/ FOR OFFICE USE ONLY Routed to Permit Technic ': Dates: Initials: Ak Fees Due: LI Yes [/ No Z--"Fee Description: Amount Due: 1•\ e $ Special G� Instructions: Reprint Permit (per PE): ❑ Yes No ❑ Done Applicant Notified: /!���Date: /...72I/1J Initials:41(